- Kelsey-Seybold Clinic (Pearland, TX)
- …meet work standards and performance measures for this position **Job Title: Claims Processing Specialist ** **Location: Pearland Administrative Office** ... laws and regulations governing Medicare billing practices, medical billing systems, and claims processing . Preferred: IDX/EPIC, PC skills, and understanding of… more
- Acosta Group (Irving, TX)
- …to provide high quality service to clients and make continuous improvements in claims processing . **RESPONSIBILITIES** + Trains and mentors Claim associates on ... **DESCRIPTION** The Claims Resolution Specialist is responsible for...procedures for assigned clients and adheres to them when processing claims + Makes the final decision… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical thinking skills,… more
- CVS Health (Austin, TX)
- …+ Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. + Applies medical necessity guidelines, ... Summary** + Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines....and/or specialized claims in accordance with plan processing guidelines. + Acts as a subject matter expert… more
- CVS Health (Austin, TX)
- …- Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Molina Healthcare (Dallas, TX)
- … payments using tools such as DSHS and Medicare billing guidelines, Molina claims ' processing policies and procedures, and other such resources to validate ... **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines,… more
- Fresenius Medical Center (Plano, TX)
- …AND RESPONSIBILITIES: + Under general supervision, identify and resolve routine outstanding claims . + Generate and analyze diverse reports and work lists in the ... from past due accounts. + Ensure timely receipt of claim payments; processing payments accordingly and reconciling all necessary data. + Perform all responsibilities… more
- Allied Solutions (Plano, TX)
- …Loss, GAP, CPI and others as assigned. This position will involve the initial processing and investigation of 20-40 claims per day. This position ensures that ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months to 2… more
- City of College Station (College Station, TX)
- Risk Management Specialist Print (https://www.governmentjobs.com/careers/cstx/jobs/newprint/4930282) Apply Risk Management Specialist Salary $59,819.00 - ... Under general supervision of the Risk Manager, the Risk Management Specialist provides a range of professional administrative, technical, and analytical support… more
- Texas A&M University System (College Station, TX)
- …coordination for international travel-related injuries, ensuring smooth communication and claims processing with international insurance carriers. + Builds ... Job Title HR Leave Specialist II Agency Texas A&M Engineering Extension Service...responsible for the DOT Drug Screening processes, TWC unemployment claims , and provides comprehensive leave information to new hires… more
- City of College Station (College Station, TX)
- …, dependent verifications, earnings and deductions administration; billing/invoicing; claims reviews; system administration, vendor audits and reconciliations, ... Benefits Specialist Print (https://www.governmentjobs.com/careers/cstx/jobs/newprint/4924967) Apply Benefits Specialist Salary $55,889.60 - $83,844.80 Annually… more
- UTMB Health (Galveston, TX)
- …Specialist will be responsible for billing all third party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital ... Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston,...claims . Identifies billing issues affecting hospital and/or physicians claims… more
- Robert Half Accountemps (Fort Worth, TX)
- …Billing Specialist (Infusion Experience Required) Job Summary: The IV Billing Specialist is responsible for accurately processing and managing billing for ... infusion services. This role involves reviewing medical records, coding, submitting claims , and ensuring compliance with healthcare regulations. The ideal candidate… more
- Woodforest National Bank (The Woodlands, TX)
- …the country! The Dispute Specialist I is responsible for investigating and processing debit card and/or ACH dispute claims , and Stop Payments, initiated by ... banks policies and procedures. Key Responsibilities: . Research customer dispute claims by reviewing card transactions, account records and information provided by… more
- ADP (El Paso, TX)
- **ADP is hiring a Service Delivery Processing Specialist .** In this role, you will serve as a Service Delivery Processing Specialist responsible for ADP ... the Global Security Organization and Corporate Legal with fraud claims and subpoenas, as well as support various business...**What you'll do:** + Conduct research to process check claims and identify check fraud. + Monitor and maintain… more
- Robert Half Accountemps (Katy, TX)
- …sector. Responsibilities: * Oversee the complete billing cycle, with a focus on processing high-volume claims for hospice care services, ensuring accuracy and ... Description We are looking for a skilled Medical Billing Specialist to join our team in Katy, Texas. In...manage billing tasks, track payments, and follow up on claims , optimizing its features to streamline operations. * Investigate… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8223 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center) Number of Vacancies1 ... Revenue Cycle FTE1.0 FLSANon-Exempt Scope of Job Responsible for obtaining and processing all diagnostic imaging prior authorizations and referrals and entering the… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... in the industry. We are seeking an experienced BPO Insurance Licensing Specialist to support Property and Casualty business process outsourcing accounts. In this… more
- Robert Half Finance & Accounting (Kingwood, TX)
- …multi-state processing for multiple entities. In addition, the Payroll Specialist will handle garnishments, benefit deductions, new hires, terms, and audit ... Description Our client is looking for a Payroll Specialist , this is a Direct hire opportunity, North...out employment verifications as required * Respond to unemployment claims in a timely and accurate manner * Utilize… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... the industry. Join our team and help us grow! As a Talent Acquisition Specialist you'll help interview and assess candidates in our large applicant pool. The right… more